Document Detail


Extending the limits of the Ross procedure.
MedLine Citation:
PMID:  8604945     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The potential for growth and the proven long-term durability of the native pulmonary valve make it ideal for replacement of the diseased aortic valve, especially in growing children. The use of the autologous pulmonary valve can be further extended to patients with complex left ventricular outflow tract obstruction and to neonates and infants. METHODS: Between June 1993 and May 1995, 35 patients underwent the Ross procedure at our center. Of these, 15 (43%) had complex left ventricular outflow tract obstruction and 7 (20%) were infants, including 3 neonates. The autologous pulmonary valve was implanted as a root replacement with coronary reimplantation in all patients. Additional left ventricular outflow tract procedures performed were ventricular myectomy in 7 patients and a Konno type aortoventriculoplasty in 11 patients. RESULTS: There was one early death in a patient with borderline hypoplastic left heart syndrome. At a median follow-up of 9 months (range, 0.2 to 22 months) there were no late deaths or reinterventions. The autologous pulmonary valve function was excellent, with 1 (2.8%) patient having moderate insufficiency. CONCLUSIONS: Autologous pulmonary valve is an excellent option for aortic valve replacement in all age groups. Its use can be readily extended to neonates, infants, and patients with complex left ventricular obstruction requiring additional left ventricular outflow tract procedures.
Authors:
V M Reddy; H A Rajasinghe; D B McElhinney; J A van Son; M D Black; N H Silverman; F L Hanley
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  60     ISSN:  0003-4975     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  1995 Dec 
Date Detail:
Created Date:  1996-05-15     Completed Date:  1996-05-15     Revised Date:  2010-03-24    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  S600-3     Citation Subset:  AIM; IM    
Affiliation:
Division of Cardiothoracic Surgery, University of California, San Francisco 94143-0118, USA.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aortic Valve Insufficiency / surgery*,  ultrasonography
Aortic Valve Stenosis / surgery*,  ultrasonography
Cardiac Surgical Procedures / methods
Child
Child, Preschool
Echocardiography
Humans
Infant
Infant, Newborn
Pulmonary Valve / transplantation*
Ventricular Outflow Obstruction / surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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